MARVIN H MORTENSEN DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038005287

License Status

INACTIVE

Business

First Name

MARVIN H

Last Name

MORTENSEN

Suffix

Business Name

MARVIN H MORTENSEN DC

Original Issue Date

12/06/1984

Effective Date

12/06/1984

Expiration Date

07/31/1987

City

WAUPUN

State

Zip

53963

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/21/2006